PubMed · 14603626
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David Crouch. How to ... be assertive.. https://pubmed.ncbi.nlm.nih.gov/14603626/
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Cognitive-behavioral therapy (CBT) has a proven role as an adjunct to antipsychotic medication and remediative approaches such as social skills training in the management of residual symptoms of chronic schizophrenia. Positive symptoms, depression, and overall symptoms appear to be viable treatment targets for CBT with a less pronounced effect on negative symptoms. The effect size at end of therapy is strong, with durability at short-term follow up. CBT can be used safely in patients with schizophrenia, and caregivers can help with homework exercises. There is also evidence that psychiatric nurses in the community can use CBT effectively with this patient group under supervision. CBT can be combined with family therapy and assertive community treatment programs targeted to reduce relapse. CBT improves the coping of patients with schizophrenia through improved adherence and symptom management. CBT techniques include development of trust, normalizing, coping strategy enhancement, reality testing, and work with dysfunctional affective and behavioral reactions to psychotic symptoms. An enhanced response to CBT would be expected when given with low dose cognitively enhancing atypical antipsychotic medication.
BACKGROUND: Findings from numerous assertion studies suggest that nurses are generally non-assertive. This study examines the role of caring as an important determinant of adaptive assertive behaviour. AIM AND OBJECTIVES: The aim of the investigation was to explore the relationship between assertion and caring skills. Two study objectives sought to determine whether both positive and negative assertive behaviours were related to caring skills. DESIGN: Correlational and cross-sectional study. METHOD: The Caring Assessment Instrument (Care Q - Questionnaire Version) and the assertion inventory were used to collect self-report data from a convenience sample of 94 subjects. Behavioural data were obtained by directly sampling 50 nurses' responses within role-play situations. RESULTS: One significant result between the various assertion measurements and caring skill scores was noted, highlighting a relationship between negative assertion and the caring 'accessible' subscale. CONCLUSION: Overall the findings of the study suggest that positive and negative assertive behaviours are not related to caring skills. RELEVANCE TO CLINICAL PRACTICE: The current findings suggest that the presence of caring attributes cannot be offered as a possible reason for non-assertion in nurses.